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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Purple Spots On Body And Low Platelet Count?

my kid 2 tr 4 months old suddenly developed purple spots all over body.we rushed him to local doctor who further referred to fortis hospital noida.my kid was detected with itp.his cbc was carried and blood platelet were 5000 against normal of 150000.he was admitted and given ivig.all other tests of blood were normal.my kids count increased to 94000 afater 5 days hospitalisation and was discharged/one week later again spots started coming in lowere legs and count was just 22000.this time double dose of ivig was given by doctor after hospitalisaion for 2 days.n then 15 days later my sons count reached 214000 and after 1 month it again lowere to 130000.now we had done his platelet count 15 days back and now again spots are coming.as parents we remain under intense trauma.please advise what to do and if it is a serious problem.doctors were advising us steroids but we want to avoid it.please advise if some other traetment is also available(may be homeopathy,ayurveda).a sincere advice may be given                                                                  
Fri, 12 Jun 2020
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Pediatrician 's  Response
Hi,

ITP is a common and benign condition in children. Most of the children recovers rapidly in 1-2 weeks. As he is responding, at least transiently, to IVIG, and (I guess) his hemoglobin levels and WBC count is normal, this likely ITP only.

But some children gets few recurrences/relapses during followup. In that case, multiple drugs may be needed (including IVIG, steroids and sometimes immuno-modulators like rituximab). So kindly follow your doctor suggestions. Going for homeopathy or Ayurveda will complicate the situation in my opinion.

Before proceeding further with steroids, you may be asked for a bone marrow study. This is needed especially in recurrent cases, to rule out other hematological causes.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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How To Treat Purple Spots On Body And Low Platelet Count?

Hi, ITP is a common and benign condition in children. Most of the children recovers rapidly in 1-2 weeks. As he is responding, at least transiently, to IVIG, and (I guess) his hemoglobin levels and WBC count is normal, this likely ITP only. But some children gets few recurrences/relapses during followup. In that case, multiple drugs may be needed (including IVIG, steroids and sometimes immuno-modulators like rituximab). So kindly follow your doctor suggestions. Going for homeopathy or Ayurveda will complicate the situation in my opinion. Before proceeding further with steroids, you may be asked for a bone marrow study. This is needed especially in recurrent cases, to rule out other hematological causes. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician